NPI | 1366754566 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNE CARUNO Office Manager 610-258-5300 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010841) |
Enumeration Date | 2010-07-06 |
Last Update Date | 2010-07-06 |